Individual provider · Type 1 NPI

James Kelly Bazelais, OTA

Other Technician · Kennett Square, PA

NPI number 1548608920 Active

Practice location

600 S Broad St
Kennett Square, PA 19348-3346

Call (610) 924-4561 Map

Mailing address

944 E Johnson St
Philadelphia, PA 19138-1065

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XOP007379 (PA)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1548608920

James Kelly Bazelais, OTA's National Provider Identifier is 1548608920, issued on Jun 7, 2013. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Kennett Square, PA. The record was last updated on Jun 7, 2013.